CMS Price Transparency Data

Injection procedure for pain management

Facility: Sanford Usd Medical Center

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$727
about 1.0× the $721 Medicare rate · typically $708–$908
modeled estimate · not a bill or quote
What this hospital charges insurers
$713
About the fair price
about $14 under the fair price · 1.0× Medicare
Medicare pays $721 Fair price $727 This hospital $713 Cash price $1,790 Hospital's list price $2,237

How we calculate the fair BaseRate →

How this hospital compares to other SD hospitals

One of the lower prices — 2 of 4 other SD hospitals charge more for the same procedure.

Cheapest $707 Priciest $1,281

Black dot = this hospital, among the 5 SD hospitals with a price for this procedure. Full list below.

A fair price for a Injection procedure for pain management is about $727 (about 1.0× the $721 Medicare rate). Sanford Usd Medical Center charges insurers about $713, or about $1,790 in cash — about the fair price. Located in Sioux Falls, SD.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $713 - $1,971 99%
Blue Cross Blue Shieldmajor $307 - $870 43%
Aetnamajor $713 - $1,711 99%
Health Net $2,013 279%
HealthPartners $713 - $872 99%
Medica $1,508 - $1,613 209%
Sanford Health Plan $592 - $794 82%
Security Health Plan $1,230 171%
UCare $706 - $1,572 98%
+ 2 smaller / regional plans $725 - $2,013
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1305 W 18Th St Post Office Box 5039, Sioux Falls, SD 57117
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals